| NPI | 1942328406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL PT3790) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT3790) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2008-06-05 |